Cluster headache is one of the severest headache in primary headache.It’s treatment consists of acute intervention and prophylaxis.First line of acute treatment including oxygen and and injectable triptans.Because of fast-acting, easily accessible, low side effect and no daily maximal usages, oxygen is used widely in clinic with efficacy ranges 50~78%. Possible mechanism is that oxygen acts specifcally on the parasympathetic/facial nerve projections to the cranial vasculature to inhibit both evoked trigeminovascular activation and activation of the autonomic pathway during cluster headache attacks. |